BonusPages - Low Cost Web Hosting Service

Domain Parking Order Form:

Instructions: Please follow this step-by-step form in its entirety. Use this form to register a domain name or order our special deluxe domain parking package. Whois privacy protection is also available that protects your personal information from registry database mining. Pricing for each product is listed below:

   1 Years   5 Years  
Domain Name Registration    
with WHOIS Privacy Protection
$29.95 $119.95
w/o WHOIS Privacy Protection
 $19.95 $74.95
Deluxe Domain Parking
     Includes email, page forwarding & Whois Privacy Protection		 $39.95 $149.95

When you've completed the form click on "Send Order" and we'll begin processing your request. Pricing applies to .com, .net and .org domains.

E-mail Address Verification: You should receive an order verification request at the E-mail address you specify. No action will be taken on your order until you reply to this message so to avoid delays in processing please reply promptly. We'll keep you updated by E-mail as your order is processed.

Note: All InterNIC charges are included, there are NO additional or hidden fees.
Please fill this out COMPETELY to avoid processing delays.
First Name:
 Last Name:
Company/Organization Name:
Street Address:
City:
 State/Province:
Zip/Postal Code:
 Country:
Phone Number with Area Code:
 Fax Number.(not required):
E-mail address:
 Purpose of Domain: (must choose 1)

ENTER YOUR DOMAIN NAME SELECTION

Enter your first choice .....................
Enter your second choice.(optional)...
Registration Instructions
Register my:
Domain Parking Package:

TERMS AND BILLING



I agree to pay MediaSuites Enterprises the applicable fees for each Domain name registered. This will be the ONLY amount billed by MediaSuites Enterprises. MediaSuites will register my Domain(s) selected above according to the instructions I have entered. I will NOT be charged for any name NOT registered. We MUST receive your payment before we can complete the registration process for you. Send your check or money order to:
Payable to:


 		MediaSuites Enterprises
594 Sawdust - PMB #146
The Woodlands, TX 77380
This service is for Domain name registration and includes ALL domain registry fees. I understand that names are available on a first come first served basis and that the opensrs registry system will be used to maintain my domain name in their database. I agree to be bound by the TLD domain name registration agreement and ICANN Uniform Domain Name Dispute Resolution Policy as applicable.

Accepted (type your initials here)

  

Copyright © 1997-2004 MediaSuites Enterprises • 594 Sawdust - PMB #146 • The Woodlands, TX 77380